Celeste Raquel Wilson in Boston - Child Abuse Pediatrics

Celeste Raquel Wilson - NPI 1215907464

Celeste Raquel Wilson is a Child Abuse Pediatrics in Boston, Massachusetts. Celeste Raquel Wilson practices all healthcare services and medical treatments related to Child Abuse Pediatrics. The NPI Number for Celeste Raquel Wilson is 1215907464. The last update date is 2015-04-21.

Celeste Raquel Wilson's current location address is 300 Longwood Ave, Boston, Massachusetts. You can contact this provider via phone number 6173556363. The mailing address for Celeste Raquel Wilson is 300 Longwood Ave, Boston, Massachusetts. To know further, please read the information below!

Provider Profile Detail

Provider Name Celeste Raquel Wilson
Address 300 Longwood Ave, Boston, Massachusetts
Phone Number 6173556363
Fax Number
Sole Proprietor N
Credentials M.D.

NPI Number Detail

NPI Number 1215907464
Provider Enumeration Date 2006-01-23
Last Updated Date 2015-04-21

Provider Mailing Address Detail

Address 300 Longwood Ave
City Boston
State Massachusetts (MA)
Post Code 21155724
Phone Number 6173556363
Fax Number

Provider's Primary Taxonomy Detail

Speciality Child Abuse Pediatrics
Taxonomy 2080C0008X
Licence No 156465
Definition:
A Child Abuse Pediatrician serves as a resource to children, families and communities by accurately diagnosing abuse; consulting with community agencies on child safety; providing expertise in courts of law; treating consequences of abuse and neglect

Provider's Other Legacy Identifiers

Identifier Identifier Type Identifier State Identifier Issuer
15177 MA NIEGHBORHOOD HEALTH
114341 MA --
156465 MA TUFTS
J23289 MA BLUE CROSS
PP788 MA HARVARD PILGRIM
B501026 MA CIGNA

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FAQs about Celeste Raquel Wilson

What is the unique 10-digit identification code issued to Celeste Raquel Wilson by the Centers for Medicare & Medicaid Services?

The Celeste Raquel Wilson has been assigned the NPI (National Provider Identifier) 1215907464 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for healthcare providers.

Can you provide the Celeste Raquel Wilson's physical address?

The Celeste Raquel Wilson is physically located at 300 Longwood Ave, in the city of Boston, MA, with the postal code 21155724.

What is Celeste Raquel Wilson's specialized field of practice, and what is the corresponding taxonomy classification code?

The Celeste Raquel Wilson's area of specialization is Child Abuse Pediatrics, and the corresponding taxonomy code that categorizes this field of practice is 2080C0008X.

On what date did the Celeste Raquel Wilson receive the assignment of its 1215907464 from the Centers for Medicare & Medicaid Services?

The Celeste Raquel Wilson was issued its 1215907464 by the Centers for Medicare & Medicaid Services on 2006-01-23.

As of what date was the information regarding Celeste Raquel Wilson, such as address, specialty, and other details, last verified and confirmed to be up-to-date?

The information related to Celeste Raquel Wilson, including its address, specialty, and other relevant details, was last verified and confirmed to be up-to-date on 2015-04-21.

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